Nursing Head to Toe Assessment
Head to toe assessments can be somewhat daunting, especially the first few times you do one! There is so much material to cover and remember that it is easy to forget something. During my first assessment my nursing instructor kindly prompted me to listen to lung sounds when I had thought I had completed the physical. How does someone forget lung sounds?! Anyways, it's easy to forget things but try not to be too hard on yourself. I have attached my report sheet that I use here for the ICU. There may be an excess of information, but you will have just about everything you could possibly want to know on this sheet!
What Makes The Perfect Nursing Report Sheet?
Looking for a great nursing report sheet? One that is organized and helps you to give the best report of your life? Here is the report sheet that I use whenever I work. In your mind, what makes the best report sheet? Comment below and let me know what you think!
A good report sheet has two elements to it: it helps you to organize your patient information and it helps you to give an organized report. It sounds a little basic, but giving a report can be a real struggle without having a good report sheet. I follow this report sheet from top to bottom and I'm able to give an organized (and faster) report every time. The easiest way to cover all patient information is to have a report sheet organized into body systems.
Pull up the nursing report sheet by clicking here. It doesn't download to your computer, simply opens in a new tab for easy printing before you head into work.